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Fabio 5941153bb7 Legislation: batch B — IL IN KS KY LA MA MD ME MI MN 
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 17:27:20 -04:00

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---
type: "Bill"
title: "PHYSICAL THERAPY-DIAGNOSIS"
description: "Amends the Illinois Physical Therapy Act. Provides that the limitation on determining a differential diagnosis shall not in any manner limit a physical therapist from establishing a relevant diagnosis. In the definition of \"documented current and relevant diagnosis\" and in provisions concerning disciplinary actions, removes language requiring a diagnosis to be substantiated by a physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "100th"
identifier: "HB 4643"
citation: "Illinois HB 4643 (100th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 80
vote_count: 2
first_action: "2018-02-07"
last_action: "2018-08-16"
source: "openstates"
source_identifier: "ocd-bill/e2f9cc23-0f15-4cd1-985c-883d87c260ec"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4643&GAID=14&DocTypeID=HB&LegId=109632&SessionID=91&GA=100"
source_hash: "29daa0ec855be24d9a90d66649df7987802462ecf584aae27ef05613936e0244"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---
# Illinois HB 4643 (100th) — PHYSICAL THERAPY-DIAGNOSIS
Amends the Illinois Physical Therapy Act. Provides that the limitation on determining a differential diagnosis shall not in any manner limit a physical therapist from establishing a relevant diagnosis. In the definition of "documented current and relevant diagnosis" and in provisions concerning disciplinary actions, removes language requiring a diagnosis to be substantiated by a physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician. Effective immediately.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4643&GA=100&SessionId=91&DocTypeId=HB&LegID=109632&DocNum=4643&GAID=14&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4643eng&GA=100&SessionId=91&DocTypeId=HB&LegID=109632&DocNum=4643&GAID=14&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4643enr&GA=100&SessionId=91&DocTypeId=HB&LegID=109632&DocNum=4643&GAID=14&Session=&print=true)
## Votes
- Third Reading — **95–0** (pass) · lower
- Third Reading — **54–0** (pass) · upper
## Sponsors
- Chuck Weaver — cosponsor (person)
- Dale Fowler — cosponsor (person)
- Dan McConchie — cosponsor (person)
- Daniel J. Burke — primary (person)
- Emil Jones, III — cosponsor (person)
- James F. Clayborne, Jr. — cosponsor (person)
- Jason A. Barickman — cosponsor (person)
- John F. Curran — cosponsor (person)
- John J. Cullerton — cosponsor (person)
- Karen McConnaughay — cosponsor (person)
- Kyle McCarter — cosponsor (person)
- Linda Holmes — cosponsor (person)
- Martin A. Sandoval — cosponsor (person)
- Melinda Bush — cosponsor (person)
- Michael Connelly — cosponsor (person)
- Neil Anderson — cosponsor (person)
- Pamela J. Althoff — cosponsor (person)
- Paul Schimpf — cosponsor (person)
- Terry Link — cosponsor (person)
- Tom Rooney — cosponsor (person)
- William R. Haine — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2018-02-07** Filed with the Clerk by Rep. Daniel J. Burke `filing`
- **2018-02-07** Added Co-Sponsor Rep. Theresa Mah
- **2018-02-07** First Reading `reading-1`
- **2018-02-07** Referred to Rules Committee `referral-committee`
- **2018-02-13** Added Chief Co-Sponsor Rep. Robyn Gabel
- **2018-02-13** Chief Co-Sponsor Changed to Rep. Robyn Gabel
- **2018-02-15** Added Chief Co-Sponsor Rep. Jay Hoffman
- **2018-02-22** Added Co-Sponsor Rep. John C. D'Amico
- **2018-02-26** Added Co-Sponsor Rep. Jerry Costello, II
- **2018-03-01** Added Co-Sponsor Rep. Natalie Phelps Finnie
- **2018-03-05** Assigned to Health Care Licenses Committee `referral-committee`
- **2018-03-14** Added Co-Sponsor Rep. Michael D. Unes
- **2018-03-15** Added Co-Sponsor Rep. Laura Fine
- **2018-04-03** Added Co-Sponsor Rep. Barbara Wheeler
- **2018-04-10** Do Pass / Short Debate Health Care Licenses Committee; 013-002-000 `committee-passage`
- **2018-04-10** Placed on Calendar 2nd Reading - Short Debate
- **2018-04-23** House Floor Amendment No. 1 Filed with Clerk by Rep. Daniel J. Burke `amendment-introduction`
- **2018-04-23** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2018-04-24** House Floor Amendment No. 1 Rules Refers to Health Care Licenses Committee
- **2018-04-25** House Floor Amendment No. 2 Filed with Clerk by Rep. Daniel J. Burke `amendment-introduction`
- **2018-04-25** House Floor Amendment No. 2 Referred to Rules Committee `referral-committee`
- **2018-04-25** Added Chief Co-Sponsor Rep. Kathleen Willis
- **2018-04-25** House Floor Amendment No. 3 Filed with Clerk by Rep. Daniel J. Burke `amendment-introduction`
- **2018-04-25** House Floor Amendment No. 3 Referred to Rules Committee `referral-committee`
- **2018-04-25** Second Reading - Short Debate `reading-2`
- **2018-04-25** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2018-04-26** House Floor Amendment No. 1 Recommends Be Adopted Health Care Licenses Committee; 016-000-000 `committee-passage-favorable`
- **2018-04-26** Added Chief Co-Sponsor Rep. Ann M. Williams
- **2018-04-26** House Floor Amendment No. 1 Adopted `amendment-passage`
- **2018-04-26** Placed on Calendar Order of 3rd Reading - Short Debate
- **2018-04-26** Removed from Short Debate Status
- **2018-04-26** Placed on Calendar Order of 3rd Reading - Standard Debate
- **2018-04-26** Added Co-Sponsor Rep. LaToya Greenwood
- **2018-04-26** Added Co-Sponsor Rep. Jaime M. Andrade, Jr.
- **2018-04-27** House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 004-000-000 `committee-passage-favorable`
- **2018-04-27** House Floor Amendment No. 3 Recommends Be Adopted Rules Committee; 004-000-000 `committee-passage-favorable`
- **2018-04-27** Added Co-Sponsor Rep. Michael P. McAuliffe
- **2018-04-27** Recalled to Second Reading - Standard Debate `reading-2`
- **2018-04-27** House Floor Amendment No. 2 Adopted `amendment-passage`
- **2018-04-27** House Floor Amendment No. 3 Adopted `amendment-passage`
- **2018-04-27** Placed on Calendar Order of 3rd Reading - Standard Debate
- **2018-04-27** Third Reading - Standard Debate - Passed 095-000-000 `reading-3, passage`
- **2018-05-01** Arrive in Senate `introduction`
- **2018-05-01** Placed on Calendar Order of First Reading `reading-1`
- **2018-05-01** Chief Senate Sponsor Sen. John G. Mulroe
- **2018-05-01** First Reading `reading-1`
- **2018-05-01** Referred to Assignments `referral-committee`
- **2018-05-01** Added as Alternate Chief Co-Sponsor Sen. Cristina Castro
- **2018-05-01** Added as Alternate Chief Co-Sponsor Sen. Iris Y. Martinez
- **2018-05-01** Added as Alternate Co-Sponsor Sen. Terry Link
- **2018-05-02** Assigned to Licensed Activities and Pensions `referral-committee`
- **2018-05-03** Added as Alternate Co-Sponsor Sen. Dale Fowler
- **2018-05-03** Added as Alternate Co-Sponsor Sen. Paul Schimpf
- **2018-05-08** Added as Alternate Co-Sponsor Sen. Linda Holmes
- **2018-05-08** Added as Alternate Co-Sponsor Sen. Melinda Bush
- **2018-05-08** Added as Alternate Co-Sponsor Sen. Emil Jones, III
- **2018-05-10** Do Pass Licensed Activities and Pensions; 009-000-000 `committee-passage`
- **2018-05-10** Placed on Calendar Order of 2nd Reading May 15, 2018
- **2018-05-10** Added as Alternate Co-Sponsor Sen. Neil Anderson
- **2018-05-10** Added as Alternate Co-Sponsor Sen. Pamela J. Althoff
- **2018-05-10** Added as Alternate Co-Sponsor Sen. Tom Rooney
- **2018-05-15** Added as Alternate Co-Sponsor Sen. Chuck Weaver
- **2018-05-15** Added as Alternate Co-Sponsor Sen. James F. Clayborne, Jr.
- **2018-05-16** Added as Alternate Co-Sponsor Sen. Kyle McCarter
- **2018-05-16** Added as Alternate Co-Sponsor Sen. William R. Haine
- **2018-05-16** Added as Alternate Co-Sponsor Sen. Michael Connelly
- **2018-05-16** Added as Alternate Co-Sponsor Sen. John F. Curran
- **2018-05-17** Added as Alternate Co-Sponsor Sen. Martin A. Sandoval
- **2018-05-17** Second Reading `reading-2`
- **2018-05-17** Placed on Calendar Order of 3rd Reading May 18, 2018
- **2018-05-18** Added as Alternate Co-Sponsor Sen. Dan McConchie
- **2018-05-18** Added as Alternate Co-Sponsor Sen. John J. Cullerton
- **2018-05-21** Added as Alternate Co-Sponsor Sen. Karen McConnaughay
- **2018-05-21** Added as Alternate Co-Sponsor Sen. Jason A. Barickman
- **2018-05-23** Third Reading - Passed; 054-000-001 `reading-3, passage`
- **2018-05-23** Passed Both Houses
- **2018-06-21** Sent to the Governor `executive-receipt`
- **2018-08-16** Governor Approved `executive-signature`
- **2018-08-16** Effective Date August 16, 2018
- **2018-08-16** Public Act . . . . . . . . . 100-0897 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e2f9cc23-0f15-4cd1-985c-883d87c260ec`. Confidence: reported (aggregated from official Illinois legislature records).
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